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3766 Ridgewood DrCONTRACT PRICE: Site Address Lot Block Name ?o Address c city _ PI, Name - 3 Address O City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1.000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN . 3830 PILOT KNOB ROAD, EAGAN, MN 55122 BLDG. TYPE WORK DESCRIPTION Res. ?r New _ Mult. Add-on Comm. Repair PERMIT # y RECEIPT # L ? /(F 2 DATE: Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL _,?Water Closet - $3.00 $ -ALBath Tubs - $3.00 ?i 4?J_Lavatory - 53.00 Shower - $3.00 Kitchen Sink - $3.00 -Urinal/ Bidet - $3.00 ZLaundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Z Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: D STATE SIC: GRAND TOTAL: 7 . / PERMIT # Ic MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: jtJ PHONE: 454-8100 Site Address ' 0A ' BLDG. TYPE WORK DESCRIPTION Lot Block ec/Sub r _ Res. New Mult Add-on D Name _ Comm. Repair Address, T, Other c City ` i Phone - ' FEES Name 's RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 3. City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PERMIT) 1 50 EA ( - - . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air i M BTU APT BLDGS. - COMM. RATE APPLIES B il M TOWNHOUSE & CONDOS - RES. RATE APPLIES o er BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. I M-WC MINIMUM COMMERCIAL FEE - 20.00 Vent L r<?, C?A Yj STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # - - ,' BEYOND $1,000) _ Other $ FEE: S/C: SIGNATURE OF PERMITTEE TOTAL FOR: CITY OF EAGAN A (Irrtifiratr of (Orrupaury Citp of (Eagan Ip Pltt of 11afting Jwrrtimt This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following., use Claaeirimdon SF DWG/GAR Bldg. Permit No. 14575 Occupancy Type R3 Zoning District R1 Type Comet. Vn Owner of BuildiogaWUM RjaWM INC Address 14945 MR" LT, EMN PRAIRIE B.m,g Add,,. 3766 RIDC?,l00D DRM to ury L2. B3. WRIDrY W 71H ?L r Da1C: JANUARY 25, 1989 B.a&g POST IN A CONSPICUOUS PLACE CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for Receipt Est. Value 4160s000 Date JANUARY 28 14 5 7 19 Site Address 3766 HID(.? ?a i.?U DH Lot Block 3 Sec/Sub. W1HDTR9E 7TH Parcel No. w Name CHARLES RICHM0 I NC Z Address 1 li `9w i I RO 1111(?(`. C 1 c City FRAIRI7 hone 937-5050 o Name SAP iE o a Address ?M- City Phone Name City I hereby acknowledge that I have read this application and state that the information is Correct and agree tocomplywith all applicable ,State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: all work shall be done in accordance with all applicable State of Building Official OFFICE USE ONLY 93 On Site Sewage Occupancy - MWCC System Zoning B.1 On Site Well Type of Const Tim City Water X_ (Actual) ?- (Allowable) # of Stories Length 64 Depth 9 S.F. Total Footprint S.F. APPROVALS FEES 770.00 Assessments Permit + - - Water/Sewer Surcharge b" O . 00 Police Plan Review 3U S - 0o Fire SAC, City ----10L_100 Engr. SAC, MWCC 5 0.00 Planner Water Conn. 550.00 Council Water Meter 7 . Up Bldg. Off. Road Unit _ ': ?' S _ [1{) APC Treatment Pt . +Z(? Variance Parks Copies TOTAL • on the express condition that Minnesota Statutes e e and City of Eagan Ordinances. CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB F40AD EAGAN, MINNESOTA 55122 ' DATE I 19 REMVM oarti - .. AMOUNT $ _ & DOLLARS too ? CASH G3 CHECK FOR FUND OBJECT AMOUNT I 1 i Thank You BY .?rA Q 4 a f White-Payers Copy •??1 Y r Yellow-Posting Copy Pink-File Copy !J/ BLDG. PERMIT NO. 01-3210 Bldg. Permit 60 / 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge C-) 17-3860 Road Unit - 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. G? 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. I-=3855 Park Ded. I r? TOTAL CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 i DATE 19 _ RECEIVED AMOUNT $ a DOLLARS loe ? CASH Q CHECK BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You CITY OF EAGAN Permit No. Date: 38;0 Pilot Knob P.O. Box 2119 Road BAP No: Date: Eagan, MN 55121 r Owner. Site Address: gewooa. Drive Plumber. JP TTtlirea Asszic . 'Peel-. MWCC: r Zoning- City Chg: 100,002d No. of Units: Acct Dep: 15.0(tpd Permit Fee: 1 0.00 d I agree to comply with the City of Eagan Surcharge, • S?n,? Ordinances. Misc.: By SEWER SERVICE PERMIT CITY! OF.EA6AN Permit No: 94 Date. 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Conn. Chg: 5 5th • ()^pd 7 1 ? • ?? - Zoning: Acct Dep: ' No. of Units: Z Permit Fee: Surcharge: • 5` ?' 1 agree to comply with the City of Eagan Tr. Plant n5 1)d Ordinances. Meter. 7 _ t Misc.: By WATER SERVICE PERMIT i OF EA'311N Pe,ANoc Date: 4 t '8 F Pilot Knob Road Iv4Q; f3o: OfJ,P 9 Size: S It Box 21199 Reeder No:, Date: -?? in, MN 55121 f>Ift- Address: Plumber. J. ° `ord:$kl) Conn. Chg: a Acct Dep: i r ' Permit Fee. Surcharge: • 5i? Tr. Plant 04 Meter. Misc.: WATER SERI •f n'2 '7-L A???f//U?iits 1 ?aeie to co ply with the City of Eagan Ordinances. BUILDING PERMIT To be used for 1 ¢ "S 7 S Receipt Est. Value 6G f ` Date ,19 Site Address Lot Block Sec/Sub. Parcel No. m Name 3 Addre C nit. m o Name it < Address P City Phone WW Name t• W : o Address g m City Phone 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. On Site Sewage Occupancy MWCC System Zoning On Site Well Cit W t Type of Const A t Q er y a ( c ua All bl ) ( owa e * of Stories L th eng Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments Permit Water/Sewer Police Surcharge Plan Review Fire SAC, City Engr. SAC, MWCC Planner Water Conn. Council Water Meter Bldg. Off. Road Unit APC Treatment P1 Variance Parks Copies TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ONE: 454-8100 - -- .1. Permit No. Permit Holder Dote Telephone #t Plumbing H.V.A.C. Electric L ner ' 61%/?/?a Inspection Date Insp. Comments Footings 1 Footings II Foundation r `:. /Vo> A?S?/ - Framing Roofing Rough Plbg. 8. Rough Htg. %i cgcT 4CP, S7 ?/-G - Isul. j Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp_ ?,=3, GcJ o/?bree, 1! HOUSE HEATING OCCUPANT TEST APT RECORD 0R ???`J) CITYESL3L UB ., . OWNER _ S-' /1--4- HEAT lrar S LOSSZ LTHTf$2 INST. SOLD L BY 4t L9. INSTALLED BY ? Electrical Wark By Gas Line By =LgtL_ ? TYPE OF HEAT GA _ FA #i/?HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER DESIGN lf?tV?/ J OF BURNER CONVERSION MAKE MAKE Model [ / l t Model Serial Max. BTU Rating INPUT 144GY?. MAKE OF, FURNACE Model _ THERMOSTAT H Heat Plug. Valve Limit Limit Setting / Fan Setting 1 376? Pilot Type €?ac rC?i [. Pilot Make Pilot Model Pilot Timing L.W. Cut Off Pressure 33 ` Percent C02 ?/7S •.S Input CFHParcent 02 /•.? Staek Temp. ?? Percent CO CONTROLS Vent Size 02 ?Q t) KIND OF LI Draft Hood _ SIZE NONE Filters Size Number Chimney Location Ina' a Outside Chimney Construction Smoke Bomb Wiring Draft Test Toq ? Door Pressure Lighting Inst. Adoo Dote Tested Testin Com an g p y Name of Tesf p? fa 41 J/S?S REQUEST FOR ELECTRICAL INSPECTION Olt See instructions for completing this form on back of yellow copy. 8-0091 '"X" Below Work Covered by This Request rvA Add j R. V. Type o1 Building ADDlioncea Wired EquiVmant Wired Home Range X Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ther peci v Other tsne.a fv) t er ueci y Other Othur . mmnute In.cnectinn Fee Re low Fee Service Entrance Size tt Fee FeadersrSVbfeeders N Fee Circuits 12 . 011 0 to 200 Amps 0 to 30 Am s 0 to 30 Aml)s Above 200 Amps 31 to 100 Amps 31 to 100 AI s wining Pool Above 100-Amps Above 100-Amps Transformers Irrigation Booms Partia L'Other Fee Signs Special Inspection 5 12 50 1 TOT ermrks . / J M Rough-in Dal. I, th lectr- InsDector, heroby ,Certify that the above Final u;t•?/? inspection has been i' meas. n.?..annont ..,it tR mennn from This 18 mrequest void ,?y/y `y/? p onths from / IT 1C D 80091/-,) Request Da,c Fire No. V v Rough-in Inspection 2„8-88 Req Wred? ?Ready Now INXill Notify Inspec- ?yes 5X for When Read' >CR Lorene ? Owner u ectncai t,ontractor I hereby request inspection of above electrical work installed at: Street Address, Box or Route No. City 3766 RIDGEWOOD DRIVE EAGAN ecLOn e. Township Name or No. Range No. County DAKOTA Occupant WRINTI CHARLES RICHARD, INC, Ph onM,-9077 Power Supplier DAKOTA ELECTRIC Address FARMINGTON Electrical Cogeacyor, orrffCt Cykll C, INC. ?t e ContraActor*S L2gnsSc-No. 1144 Mailing Ad or Own r Making Instailationl BOX 328; LAKEVILLE, MN 55044 Author zeontractor/ a aki Installalinn) Phone Nwnber 469-3233 MINES STATE BOARb OF ELECTRICITY THIS INSPECTION BEQUEST WILL NOT Griggs dway Bldg. - Boo. N•191 BE ACCEPTED BY THE STATE BOARD 1821 avers it, Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 612)642-0800 ENCLOSED. g, REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 EMPNO _ Ii, See instructions for completing this form on beck of yellow copy. 0 J-7 91 8 '-X'- Below Work Covered by This Request Adtl Rep. Type of Building Appliance. Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other pep lv Othc, (Spam W) Omer Specs y t er Other Compute Inspection Fee Below _ g Fee Service Entrance Size H Fee Feeder.rSubfeeder. H Fee Circuils U to 200 Amps 0 to 30 Amps 4 2 . 00 0 to 30 AM DS Above 200 Amps 31 to 100 Amps 9 , 1 1 to 100 Am Swimming Pool Above 100_Am)s Above 100-Amps Transformers Irrigation Booms Part ial 'Other Fee Signs Special Inspection ? TO Remsrks i7 .50 `G Rough-in ( Da e? d Ie thZnto InsSppector, hereby r cerlily Ihet the above Final eto/? inspection hes been .W I ( ?Y made. this request Void 18 months from ",V V444-1w This request void Q?-3/77 / / 18 months from d v °i D q7 918 12 S, -;e67 Request Date Fire No. ROOPh-in Inspection flequiretl7 Ready Now WE Notify, Inspec- -2A- ?No r When Ready ?xicensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. City 3766 RIDGEWOOD DRIVE EAGAN ecnon No. Township Name or No. Range No. County I DAKOTA Occupant (PRINT) Phone No. CHARLES RICHARD,INC. 937-9077 Power Supplier Address DAKOTA ELECTRIC FARMINGTON Electrical Contractor (Company Name) Contractor's License No- CF ELECTRIC A-042214 Mailing Address (Contractor or Owner Making Installation) P. 0. BOX 328 LAKEVILLElMN,55044 Authorized Signature o is ner M ng In tal tion) Phone Number 423-5505 Grigga E BOARD OF ELECTRICIW ~? THIS INSPECTION REQUEST WILL NOT MINNESOTA STAT -Midway Bldg. -Room N•191 I/ UNLESS ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 NLESS PROPER INSPECTION FEE IS pt.....e tntlr RA9-nRnn ENCLOSED. CITY OF EAGAN NO- 1 4 5 7 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - pf.2 9/1 BUILDING PERMIT PHONE: 454.8100 Receipt# 0.? Cl `-i? • To be used for SF DWG/GAR Est. Value $160,000 Date JANUARY 28 _19_88 Site Address 3766 RIDGEWOOD DR OFFICE USE ONLY Lot 2 Block 3 Sec/Sub. WINDTREE 7TH On Site Sewage Occupancy _?_ R3 1 MWCC System Zoning R Parcel No. On Site Well Type of Const City Water (Actual) n: Name CHARLES RICHARD INC (Allowable) w T Address 14945 IRONWOOD CT * of Stories Length 64 City EDEN PRAIRITphone 937-5050 Depth 68 S.F. Total 0 Name SAME FootprintS.F. ua Address APPROVALS FEES P City Phone Assessments Permit $ 770.00 50 00 Water/Sewer Surcharge . W m Name Police Plan Review RA S 00 'W _3 Address Fire SAC, City t M n0 ,,e Engr. SAC, MWCC X00 gw City Phone Planner Water Conn. S 00 67 0 Council Water Meter - 0 1 hereby acknowledge that I have read this application and state Bldg. Off Road Unit 399 . n0 that the information is millyn g ompl Y'With all applicable APC Treatment P1 906.00 State of Minnesot tatutes? of agan inances. Variance Parks Copies Signature of Permittee TOTAL $3,031,.00 A Building Permit is issued to: CHARLES RICHARD INC on the express condition that all work shall be done in accordance ewwith /a/yI applicable States M innesota Statutes and City of Eagan Ordinances. ? /?-s Building Official 1.r= _0 ? t 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodelgieoab Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot sq, ft. of house: and all roofed areas 2 copies of plan showing footings, beams, joists Cea of SuNey:Recd _ Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report. , -Y _ N 1 Soils Report it proposed building Is to be placed on disturbed soil 1 site survey for adddions & decks - Tree Pm Plan Redd _ Y _ N_ 2 copies of plan showing beam 8 window sizes: poured found design, etc. Addition -w6cafe i/orfsfte septic system Tree Pres Required. _ Y - N 1 set of Energy Calculations On'-ale Septic System _ Y -N 3 copies of Tree Preservation Plan if bt platted after 711193 Rim Joist Detail Option selection sheet (buildings with 3 or less units) Plans are considered public information unless you state the are trade secret and the reason. Date _ / -11 / /6 ? Site Address 37 6 6 ? A9 e t o car ? Construction Cost ' Iloo o DC Unit/Ste # h f T ? ? Description of Work I eCcr©?"I 1 Yy'e.lL r G VIA (VS i CI ' r (? ^? 1t } `lV, 0,M°S S A yl G Multi-Family Bldg _ Y & N Fireplace(s) 0 - 1 - 2 /? Property Owner / k ac4q ll -- I rAci," Telephone # ( ) S C eCe zyi(-, _ Contractor CoAsWQ Vi Address State (h aqe)A2> I j TH S 7, city '11 q i w ore. V\ Zip S?,3 7 l Telephone # 7 COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Category 1 (J submission type) Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, dale and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( ) and acknowledge that the information e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. it SO-J?v,c Applicant's Printed Name Applic s Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32*Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes _ Valuation Occupancy MCES System Plan Review _ 100% or _ 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ lee & Water _ Final Framing Fireplace _ R.I. -Air Test -Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS Sheetrock _ Final/C.O. _ Final/No C.O. _ HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco Lath - Stone Lath -Brick _ Windows Retaining Wall Building Inspector PERMIT# ???? -,?) -,- RECEIPT DATE: 2008 RESIDENTIAL PLUMBING PERMIT APPLICA77ON CITY OF EmAN 9830 PILOT KNOB RD EAGAN, MN 551 EE 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, TILLMAN, MARSCHALL 3766 RIDGEWOOD DRIVE SITE ADDRESS: EAGAN, MN 55123 (651) 4059291 OWNER NAME:: I TELEPHONE M (AREA CODE) INSTALLERNAME: NOYbIoYYI ` ?1tW11o1v1[t TELEPHONE (aiz-g2-7 " L'+033 STREET ADDRESS: GC11N?C-(d AV'G? V1 1,4e- SO LI}Lt (AREA CODE) CITY: AA p t s. STATE: M rJ ZIP: 55"409 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 - Abandonment of septic system. - Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118) Other: - RPZ: new installation/repair/rebuild $ 30.00 lawn Irrigation system Replacement/additional: _ water softener X water heater 15.00 State Surcharge c _ ? 2 ?Gjl? $ .50 Total ?? - $ (S 5© I hereby acknowledge that I have read this application, state thatthe information is correct, and agree to complywith all applicable Cityof Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes'no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within CI property/right-of-way/easement. ?- SI RE OF PERMITTEE 1/02 8 IL2G!4MIT APPLICATION - CITY OF EAGAN -6' SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS W JAN 2 8 1988 To Be Used For: Sa` r?M+•?.-C Valuation: Date: i • 20.88 Site Address `? ?' t<<{ t.I C? 1 Lot 2- Block 3 1 Parcel/Sub '7 tN After.3 Owner GM^0h-eS V sci4AAft :uC Address -%A945 i4o-aworo eT City/Zip Code 004Q? 7?&4:r1%u. M•3 . Phone at 3"i • $'O $D Contractor 504496 AS A440v62 Addres City/Z Phone Arch./ Addres City/Z Phone # 160?000' Ur V. On site sewage_ MWCC system j• On site well City water d_ PRV required Booster Pump APPROVALS Occupancy R-3 Zoning R- 1 Actual Const V-N Allowable V-N # of stories Length Depth _ S.F. Total Footprint S.F. FEES Engr/Assess Planner Council Bldg. Off.4yq?717Z8 Variance Permit 1Dr Ob Surcharge Zb,OC7 Plan Review 38S,0 o SAC, City 100,00 SAC, MWCC -SO, 00 Water Conn 5SO,C7O Water Meter &7,00 Road Unit 2,S 10 Treatment Pl 2o4,{?p Parks Copies TOTAL VALUATION GARAGE ?4 X 3Z = ?J ?8 X/2 = 9 Z I ? BASEt`(?E?.1( I ?,T I=tooR ZZ x 2?1 . 5914 s x 9 = 44,5 II'?z ?(3z? 36g 14X4,1= GI(, 3xR ? a? I65o x58 = 95'700 ZNv FL,?>o2 36 X 455lt2 = I q 4 5XZ3 = (115) ??KLL - (308) 1?I Y L - (44) I q Xva= 5= _ 15?t y32 (To be submitted with bnil-E:'_ DErr..it ap-24cation) Gr.c c: tK7 farlil}• uuelline ? am.er GHA?LYS ¢,c.,Aao ?-?c O_hcr s1-1-rz: n 34 r c« - LOT ?, gIOCK 3 WlND7RGE W -t Am t, site A9dress tioz9 o Contractor GHAJLL.iS @.C"A? ?c Date_ 8. 29.86 Phone q3 i INZAL FT. OF ;:POSED ::ALL + + + + + +_+_X ft. above grade = 3A1a3 - 9 TOTAL EXPOSED VALL AREA SQ. F- 77AQUS COhSTP.UCTIOk: "U" value x area \w :oA FK- 1 "U" o. Og7 x sq. 3AS.? wA g0Z _ Fm- z "U" O. 04.5 x sq. -:tall ref.rfnC2 2..,. ,ST •.•c•Z 0. 0A2 X SC:, frcm .. or. F •: "U"O:11A X sr. F `yr-••Ak 907, 41c-'Z "U"o 048 Y. SC. e-1a °a a F.c °U°0-073 Y, se_ Z 5 ?L't{.a5u? c.._ac nua FK• i ':UuO l30 X 5q- 'Ii X0:45: "L"' value X. a_T@a . T "U" ?. 4l x so. .• n ,. .. .. G.vw ..U.. 0.41 X Sq. .. ., "U" x sq. " bS w,ue ..? aec "U" O. A ? X SC. value x area ft- Z47- Z2 = Z3-980 (U) (A) ft. 2224 . :9 = 100- iz5 (U) (A) ft. 321. 00 = .3_ 45Z (U) (7-.) ft. 11 ZO = I- Z77 (L') (T) °t. 100- 60 = A-838 _ (U) (A) ft. ZA. OO = I.7SZ tL)(?) it. 10 b SO = 13.345' li)) (A) 3035. *1 154 Z99 ft 270. as o=_(Ui (AI ft. 11.90 9. -.1 U) (A) (U) U0 ft. 3.90 163 (U) (A) 294.69 119. 407 '.ake S t}•;?e De "U" O.AI x so, ft. loo-oa = 41.000 (U) (A) ?? •--r - _ c? .x.ns w? "U" 0.08 X SC. ft_ 36.00 = 3 OAo (Si) (A) -: Sq. ft. = ICI (A) ' 138.00 74. 040 TOTALS . 3AV8-AD sq. ft. 322 .744, (U) --,AL 4U) (A)' VALUES 321. 746 :IVLtD BY AOTAL WALL ?SP=A 3AoH 40 = 0 04305 AVG. 0 no .37• or less for 1 d 2 family dwellings .22 or lass for all ot!:er buildings O: r.L AR:.7.: sc. ft. __`Cxencc flA ca.G ?- A °U"002 X SC. f:. 132.2 = 5 '+ ,,.703 fU)(.e, :roe ?a.< n?c c T9ox _"U" o ozz x sc. ft.1190. 25 = zv. I S& (U) (A) chcd sneocs. ?A ?t c OZ "U"a.oz-.? s. so. ft. S. zO = 0- SAO MIA) 907. "U.•o o 27- X LC. ft. 22b .d0 = 4.g9b (U) (A) _.. . ?. o.,.ve. n iox "U': a_o v9 •• Sei. ft. Z. Go = 0. 179 (U) (1:) ovyQaH,atc 907 0.031 _=.4J 0•'72.5- I boo. J.0 0.0227• 0-OZ6 -.$5 for ventilate:! roc`s .10 for a?1 other construction TOT::-1= r9oo.-0 `° f 3(0-34,3 (U) I AVG. "U" if ":e-ajc, "Li" Values as CaICL1ated c?._VE CO not _._ -Ir.'r C!' -_ ? Code Te.L-rCr:°^.t5. "Alternate T.^VE1G_a C•esian" as out. l1L(? in j?C GODG(c) be us@C. ;,UCiti Or._1 sheet ..ay Le used tc s..c)w c2lCtllati DP.s. • CTW\Cd? u__;:•: ,•,.r• of op-iqua wall area for ir:.m^ construction Pago Wo Construcrion A-value lox 1. Interior air film 0.68 2. V&" G•tP hqe 0.4S 3. T.V inches soft w' od b 88 4. Y2 \v \nre S.8^+rvc I.%2 5. 3/4- ¢mweee S.e\a[ o,q4 6. Exterior air film r 0.17 Total :'j.34 6b= 0.044 1. 2. 3. 4. 5. 6. 407, Ms -1 Sr 1. Interior air film 0.68 2. SAO a w.r wc.,?wre.,a MOO 3. I )V saRr woad 1•48 4. Y=" I..1TLdpLO,?r? cM.LSt.\.-fC 1.21 5. _ */a" ¢.nwwe S.a-ae 0.9q 6. Exterior air film 0.17 Tbttl 23J4V x O. O 41 4940S+C CO.ti -d-K. -irw ?Wr 1. Interior air film 0.68 2. I Yt" (¢- 1e.a aA" ??<....u.\o+l 5.57 3. 12` ca.. ftwl 1 28 4. S. G. Exterior air film 0.17 Total -+; 70 %J a o. 1'34 rIG. !3 '• * 41 ' GTMDE L'X //1 FIG. N4 /!t rc/ s ?(I //r /!/ c. NOTE. Indicate type, "^" value, death and placement of insulation. U a o. o4S T •r.G6' , FIG. 93 O 1 pace :U.0 Construcrion alre,... o lox 1. Interior air film n-Value 0.(.H 2 . A, 4. 0 %40 0.45 3 . inchcs soft u od i•86 4 , e' evd oer? 0.56 5. G. Exterior air film 0.17 Total a.7A Us e. 114 cm....,,,. a 4107. 1. Interior air film 0.68 2. 1^ avo LAS 3. BA I I q. 05 6. .? .aas O •36 S. 6. Exterior air film 0.17 Total 20.64 % is 0.046 OWS.ewO. 1. Interior air film 0.6e 2. A' ?... ?...,? 0.4A 3. A" c- -- ?+.a 1 • 1 1 4. 5. 6. Exterior air film 0.77 Total 4.40 %4s 0.417 1. Interior air film O.6e 2. •3 3. 4" wcr e.NuLG.r s.w?t.w..G 6.00 4. 12' ease ?l?.e? (• 2A J. G. Exterior air film 0.17 Total 19.70 4j% o• 073 [ G*tT.DE s ? e ?lrr FIG. $4 Ifl k .6• o NOTE. Indicate type, "8" value. deuth and placement of insulation. ? ••••• •- of opa%;= wall area for .r m. aw•r.truction Page Three GL6 a goy Construction R-Value 1. Interior air film 0.61 2. 57a' c.o oat 0 see 3. 14.3o" ft oa, ? a--*4A .~ A4.Oo 4. Exterior air film (still) Total 43.78 u' o•ot:b 'Vent--d riG. c5 teat flow up c"c c 10A 1. Interior air film 0.61 2. %. a•ra oat O•Sb 3. 7 uaa.. b•ab 4. Exterior air ilm stIl e+ Total 9 auti t?.urLaws w Z7.oo .ea Or W Ai Safes ....., 3S•lefo 64. O.OZ6 ):act flow up vented „r3G. 56' 1. Inside air film 0.61 2. 3. 4. 5. Outside air film 0.17 Total Note: use additional sheets if more space ' needed for details and calculations. ROOF/CE=-.IG . .- waw-?r4alJ,l ? . MAC flow up PT.G. A7 .. Page Three. 'Jzr.tad rsaat flow ip JAV rT • t•ak..o mAM..a Q t o 7. Construction R-value 1. Interior air film 0.61 - 2 ?e v.) MCO 576 3: 17%7 Sear wage -e?ts • 88 4. Exterior air filn istill Total V ov.:a. Soot' "woo 34115 416. I L UT 0.023 FIG. "r5 F+Avo v\q^&A n 4 90 76 1. Interior air film 0. C•1 2. ' E " G MP 3•ao O.56 3. d. ..a ..r .4A.00 4. Exterior air iln (sta 11 ) '•o± Total AS. 78 Ll R a.OZ,6 11'_a: flow up vented FIG. 16 1. Inside air film O. G1 a. 's. 4. 5. Outside air film 0.17 Total Note: use additional sheets if more spare noo4ed for details and calculations. ROOF/C m-"G Hc1L flow up r'. av?SW?facs tog 0.61 0.43 _. I? M+.e 3eo 0.56 14 S9 V T O. 06A o±srx? a 4090 - • • - - -- ^nr ?..1'';? - i.°, coo ;:.fl -- 0.5b =-=--_ -= _ _ _•_.--- --- --. 32.7! V= 0.031 i A ..?:?__ ire •i'.._. _ -_ :.-.. al - -. .. . . . .__ .. Four. arueger a Assectat,es, Inc. ®jli? CERTIFICATE 6080 ?•.au;ca ;oae , ?..' . 0 F - Engineering',` SURVEY Land Surveying 1°161 s?4212 ® Landscape Architecture ,._.. , .. .... ..,. ... . + Planning Survey tor: CffA,2LES- ?fG/JA?D Job No. ?061/1 Bk. `f?7 Pg. 55 T?- NORTH 30 -' 9ti5' ? Q 1 17 92¢R M 9? 1918.5 Xc 22 30 J, •_J 9>\5 24:0 N l qq 9ZK e) 91 N l 0 ?qq qZ2It % 44.0 0 1 9 .rl Zt N c - C m V.7 ??? ?j,o I Y•1 NOU SE 2 L 6) ?'?s.a 220 ?,$ I l 0 ??y S. 5 to l b-7-oo Peawos5o EGEVL177oNS XXX - OENoT,9S EX1577NG EL&V/477c1t! LoWEST FLa02- 9Z,0-6,77 (M) - DEN0T65 PRoFc.Sao 5d.E;1A7'1arV- Gr1 eAGE FGOOz - 9aFS•?7' /- ;-, bENo- 4s D1R6iCT1oh/ Gl=FLOW Tov. of FouNoG?sT/on/- `929.0 oP. SURFACE DRA/NAGE• I H ERESY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF THE BOUNDARIES OF (`T 2, BGOCC..3 /NDT2E?" 7 T-µ ALD/lion/ G?1Ko7 ' COU INNESOTA. SURVE'rED By ME THIS. ZPj?L` DAY OF S e?-ew.bev?g S'1 ONA.LD L. KRUEGER . _ STATE REGISTRATION NO. 14374 909, APPLICATION FOR PERMIT LEGAL DESCRIPTIONS. .. v . Lot oc S ivision or Tax Parcel ID ) OF eagan PLEASE PRINT 1) PROPERTY ADDRESS: PRESENT ZONING/PROPOSED USE: Q COMMEPCIAL/RETAIL/OFFICE Q INDUSTRIAL INSTITUTIONAL/GOVERNMENT 2) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: NAME: .-, . N. f0o SEWER AND/OR WATER CONNECTION ;f ..... w w x..... x x x.......... xx •xx* NOTE: PAYWIEW OF FEE AT TIME OF a APPLICATION DOES NOT CON- i STIYIRE APPROVAL OF PERMIT. y } Y INSPECTION OF sEweFC AND/OR WATER i INSTALLATIONS WILL NOT BE SCEUnm Y+, y* 1VrIL PERMIT HAS BEEN APPROVED. Y}}Y!}f}R}khk#}}yy##!Yf}tY#!YR}YY!}Y#Y (month/Year) R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) Q R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) ?C ADDRESS: I d B?,r ?{7(? - CITY, STATE, ZIP: ._ G ?? i h iy s? M v. 5 3 1-7 PHONE: 17f? -j(7QF3' 3) NAME: ADDRESS: CITY, STATE, ZIP: e- St)y\ eL_-K.0 aze- .Y-&-" -?-S379 PHONE: { ?{ j I p a MASTER LICENSE # Yn Active Expired Not recorded Staff Initial 4) u ?• NAME: ADDRESS: CITY, STATE,.ZIP: PHONE: 5) s ® CONNECTION TO CITY SEWER [g CONNECTION TO CITY WATER a OTHER 6) * ] [ a [ x'X Y x'A' a' 1k R Y[ a"k A' R `x 1f ! Y'k ]F *'k'.F A"k * *'X :F * *'YE A"A"Jt A"k'k ]F * :F *'k ]F * :F'k'k * A' :k aF 1[ if A' A' #"I[ `k * 4 A' :F * * * i[ ]F * * ]F *"k *'k * aF * 1[ 9[ ]F'k'k'k *'k'h A' *'k'k A' A"k ]F tF lF * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS Tb FACILITATE METER PICK-UP. * PLEASE ALLOW TWO FORKING DAYS FOR PROCESSING. SomEONE FROM THE CITY WILL CONTACT YOU IF THERE i* * ARE ANY PROBLEMS. FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit c s 67-Oo s S`5 0 o d s to S-a•69 0 $ $ a6 an s Iq7/- DU RECEIPT FEES: $ /0 - Se SEWER PERMIT (INCLUDE SURCHARGE) $ AD'S d WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ CCOUNT DEPOSIT - WATER $ ?? O 7 WAC $ /,? - (tZ? G SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ /- OTHER: s ego TOTAL X700 RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ED YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ?/// 77-1/'l rtva 3830 PILOT KNOB ROAD. P.O. BOX 21199 EAGAN, MINNESOTA 55121 PHONE: (612) 454-8100 -- Special Assessment Search Date: February 29, 1988 Requested By: Re: Windtree 7th Dakota County Abstract Cc 10-84476-020-03 VAC ELLISON Mason THOMAS EGAN DAVID K. GUSTAFSON PAMELA MCCREA THEODORE WACHTER Council Members THOMAS HEDGES City Adminisft ror EUGENE VAN OVERBEKE City Clek On the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. In addition, pending assessments are included for improvement projects that have been ordered to be installed by the City Council as they may affect this parcel. The levied and pending assessments may or may not reflect the complete assessment obligation based upon the parcel's current use or zoning. Certain parcels have not been assessed at the appropriate rate per their zoning/use. The City's policy is to review the assessment obligation of parcels at platting; replat- ting, rezoning, waiver of platting, and prior to the issuance of conditional and special use permits and certain building permits and in other unique situations. A condition of approval requires the parcel to assume its additional assessment obligations that have not previously been levied for existing public improvements. The City's Engineering Division can provide further: clarification of this policy, if you desire. WAIVER/DISCLAIMER: Neither the City of Eagan nor its employees guarantees the accuracy or completeness of the information provided which was required by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration of receiving and using information on the attached form and for all other consideration of any nature whatsoever, any claim against the city or its employees rising therefrom is hereby expressly denied. Pending assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF EAGAN. Very truly yours, /off-c> SPECIAL ASSESSMEN Attachment THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY TRANSACTION ID: 8766 SPECIAL ASSESSMENTS SPECIAL ASS ESSMENTS SEARCH S UMMARY PROPERTY I.D. TODAYS DATE: 02/26/88 ---SPECIAL FLANS---- 1-2-3-4-5- 6-7-8-9-10 10-84476-020-03 S.A.# ASSESSMENT DESCR. YR YRS RATE, TOTAL. ANN.PRIN. " P'AYOFF COMMENT 101305 WAT LAT 9N- B7 15 8.50"%. 261.75 17.59 246.17 101317 SS P 462 87 5 2.50% 757.71 151.54 606.17 101422 SAN SEW LAT P477 87 5 9.00% 1485.91 297.18 1188.73 101429 WAT LAT P477 87 5 9.00% 1532.81 306.56 1226.25 101430 SERVICES P477 87 5 9.00°%. 991.55 198.31 793.24 101431 STORM SEW LAT P477 87 5 9.00% 193.60 32.72 154.88 1014.32 STORM T KM P477 87 5 9.00% 792.05 158.41 633.64 101433 STREET P477 87 5 9.00% 2627.19 520.44 2101.75 a? # SUMMARY OF ACTIVE 8644.57 1693.74 6950.83 COMM THIS YEAR'S TOT P&I 2700.04 Press ENTER (Comments), F1 or F2 (Header Form) or F7 (Restart 87 68) PL 7s9 77 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for -modifications to existing residential dwellings. D t ( ; L/ `? a e I 6 I (J n Site Street Address L Unit # Property Owner ??? U ?j fY (1 Telephone # Contracto I NL-k Telephone # ?LS )??xx9 1Q? Address`- I?_2 City "K1A(um State ?O Zipa b? The Applicant is: _ Owner "4 Contractor Other Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ .50.00, 'Add plumbing fixtures. This fee includes installation of a water softener. and/or water heater at the same time. , if you are Installing only a water softener and/or water - heater, do not complete this section; move to the next section and check the. appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $130.00 if a 518" meter is required) Other: Water Softener _ Water Heater $ 15.00 new replacement -Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $7? , „?,=ur upply lyr a neaiueiwai rnumumy rerrmr and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and. the plumbing codes; that I understand this'is nota permit, but only an application fora permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required tg be revie d_ and approved. t?7 e Applicant's Printed Name A licant's ignature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3766 Ridgewood Dr Lot: 2 Block: 3 Addition: Windtree 7th PID:10- 84476 - 020 -03 Use: Description: Sub Type: e- Reroof Work Type: Repair Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: P Fee Summary: Valuation: 3,000.00 Contractor: Seta Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823 -8046 ctures are not acceptable in lieu of inspections. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: Owner: Marshall P Tillman 3766 Ridgewood Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA078006 05/30/2007 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA137895 Date Issued:07/28/2016 Permit Category:ePermit Site Address: 3766 Ridgewood Dr Lot:002 Block: 003 Addition: Windtree 7th PID:10-84476-03-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Replacing a door & 2 sashes Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Marshall P Tillman 3766 Ridgewood Dr Eagan MN 55123 Craftsmans Choice Inc 5680 Quam Ave NE, Suite A St. Michael MN 55376 (763) 276-7465 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167500 Date Issued:03/18/2021 Permit Category:ePermit Site Address: 3766 Ridgewood Dr Lot:002 Block: 003 Addition: Windtree 7th PID:10-84476-03-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Marshall P & Karen S Tillman 3766 Ridgewood Dr Saint Paul MN 55123--132 (651) 405-9291 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature